Incoercible Vomiting in a Polycystic (ADPKD) Patient on Peritoneal Dialysis

Although gastrointestinal symptoms are not uncommon in PD patients due to several causes, such as infusion volume with early satiety, constipation, or peritonitis, sometimes the differential diagnosis is more challenging for nephrologists. We present the case of a woman with end-stage renal disease...

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Autores principales:	Victor Burguera Vion, R. Haridian Sosa Barrios, Maria Delgado Yagüe, Milagros Fernández Lucas, Maite E. Rivera Gorrín
Formato:	article
Lenguaje:	EN
Publicado:	Karger Publishers 2021
Materias:	pyloric stenosis autosomal dominant polycystic kidney disease peritoneal dialysis vomiting Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/82aec68e360e48349286dd8c96ff4194
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spelling	oai:doaj.org-article:82aec68e360e48349286dd8c96ff41942021-12-02T12:40:23ZIncoercible Vomiting in a Polycystic (ADPKD) Patient on Peritoneal Dialysis2296-970510.1159/000520020https://doaj.org/article/82aec68e360e48349286dd8c96ff41942021-11-01T00:00:00Zhttps://www.karger.com/Article/FullText/520020https://doaj.org/toc/2296-9705Although gastrointestinal symptoms are not uncommon in PD patients due to several causes, such as infusion volume with early satiety, constipation, or peritonitis, sometimes the differential diagnosis is more challenging for nephrologists. We present the case of a woman with end-stage renal disease due to autosomal dominant polycystic kidney disease on PD who presented with swollen legs and incoercible vomiting. After ruling out constipation and infection, an abdominal CT was done, revealing extrinsic compression of the intrahepatic inferior cava vein (ICV) and massive venous thrombosis from ICV to bilateral iliofemoral deep veins. In addition, CT also showed displacement and extrinsic compression of the stomach, pylorus, and duodenum due to an enlarged liver cyst. Percutaneous drainage and sclerosis of the cyst compressing the stomach was performed, anticoagulation was started, and the patient clinically improved with complete resolution of symptoms.Victor Burguera VionR. Haridian Sosa BarriosMaria Delgado YagüeMilagros Fernández LucasMaite E. Rivera GorrínKarger Publishersarticlepyloric stenosisautosomal dominant polycystic kidney diseaseperitoneal dialysisvomitingDiseases of the genitourinary system. UrologyRC870-923ENCase Reports in Nephrology and Dialysis, Vol 11, Iss 3, Pp 321-326 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pyloric stenosis autosomal dominant polycystic kidney disease peritoneal dialysis vomiting Diseases of the genitourinary system. Urology RC870-923
spellingShingle	pyloric stenosis autosomal dominant polycystic kidney disease peritoneal dialysis vomiting Diseases of the genitourinary system. Urology RC870-923 Victor Burguera Vion R. Haridian Sosa Barrios Maria Delgado Yagüe Milagros Fernández Lucas Maite E. Rivera Gorrín Incoercible Vomiting in a Polycystic (ADPKD) Patient on Peritoneal Dialysis
description	Although gastrointestinal symptoms are not uncommon in PD patients due to several causes, such as infusion volume with early satiety, constipation, or peritonitis, sometimes the differential diagnosis is more challenging for nephrologists. We present the case of a woman with end-stage renal disease due to autosomal dominant polycystic kidney disease on PD who presented with swollen legs and incoercible vomiting. After ruling out constipation and infection, an abdominal CT was done, revealing extrinsic compression of the intrahepatic inferior cava vein (ICV) and massive venous thrombosis from ICV to bilateral iliofemoral deep veins. In addition, CT also showed displacement and extrinsic compression of the stomach, pylorus, and duodenum due to an enlarged liver cyst. Percutaneous drainage and sclerosis of the cyst compressing the stomach was performed, anticoagulation was started, and the patient clinically improved with complete resolution of symptoms.
format	article
author	Victor Burguera Vion R. Haridian Sosa Barrios Maria Delgado Yagüe Milagros Fernández Lucas Maite E. Rivera Gorrín
author_facet	Victor Burguera Vion R. Haridian Sosa Barrios Maria Delgado Yagüe Milagros Fernández Lucas Maite E. Rivera Gorrín
author_sort	Victor Burguera Vion
title	Incoercible Vomiting in a Polycystic (ADPKD) Patient on Peritoneal Dialysis
title_short	Incoercible Vomiting in a Polycystic (ADPKD) Patient on Peritoneal Dialysis
title_full	Incoercible Vomiting in a Polycystic (ADPKD) Patient on Peritoneal Dialysis
title_fullStr	Incoercible Vomiting in a Polycystic (ADPKD) Patient on Peritoneal Dialysis
title_full_unstemmed	Incoercible Vomiting in a Polycystic (ADPKD) Patient on Peritoneal Dialysis
title_sort	incoercible vomiting in a polycystic (adpkd) patient on peritoneal dialysis
publisher	Karger Publishers
publishDate	2021
url	https://doaj.org/article/82aec68e360e48349286dd8c96ff4194
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Incoercible Vomiting in a Polycystic (ADPKD) Patient on Peritoneal Dialysis

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